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An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report

Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy wi...

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Autores principales: Ranucci, Giulia, Di Dato, Fabiola, Liccardo, Daniela, Spada, Marco, Maggiore, Giuseppe, Iorio, Raffaele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592304/
https://www.ncbi.nlm.nih.gov/pubmed/34790637
http://dx.doi.org/10.3389/fped.2021.766187
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author Ranucci, Giulia
Di Dato, Fabiola
Liccardo, Daniela
Spada, Marco
Maggiore, Giuseppe
Iorio, Raffaele
author_facet Ranucci, Giulia
Di Dato, Fabiola
Liccardo, Daniela
Spada, Marco
Maggiore, Giuseppe
Iorio, Raffaele
author_sort Ranucci, Giulia
collection PubMed
description Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy with restoration of bile flow and without overt signs of hepatic failure. Recurrence of HH led the patient to liver transplant despite a low pediatric end-stage liver disease value. Although rare, HH can also occur in children and should be suspected in patients with portal hypertension and respiratory distress. HH may be an indication for liver transplantation.
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spelling pubmed-85923042021-11-16 An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report Ranucci, Giulia Di Dato, Fabiola Liccardo, Daniela Spada, Marco Maggiore, Giuseppe Iorio, Raffaele Front Pediatr Pediatrics Hepatic hydrothorax (HH) represents a rare complication of portal hypertension among adult cirrhotic patients. Here, we describe a pediatric case of HH, observed in a biliary atresia infant. The child presented with recurrent right-sided pleural effusion, after a successful Kasai portoenterostomy with restoration of bile flow and without overt signs of hepatic failure. Recurrence of HH led the patient to liver transplant despite a low pediatric end-stage liver disease value. Although rare, HH can also occur in children and should be suspected in patients with portal hypertension and respiratory distress. HH may be an indication for liver transplantation. Frontiers Media S.A. 2021-11-01 /pmc/articles/PMC8592304/ /pubmed/34790637 http://dx.doi.org/10.3389/fped.2021.766187 Text en Copyright © 2021 Ranucci, Di Dato, Liccardo, Spada, Maggiore and Iorio. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Ranucci, Giulia
Di Dato, Fabiola
Liccardo, Daniela
Spada, Marco
Maggiore, Giuseppe
Iorio, Raffaele
An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title_full An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title_fullStr An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title_full_unstemmed An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title_short An Unexpected Hepatic Hydrothorax After a Successful Kasai Portoenterostomy: A Case Report
title_sort unexpected hepatic hydrothorax after a successful kasai portoenterostomy: a case report
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592304/
https://www.ncbi.nlm.nih.gov/pubmed/34790637
http://dx.doi.org/10.3389/fped.2021.766187
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